SHAKITA CRICHLOW (NPI# 1780032409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780032409 |
| Entity Type | Individual |
| Full Name | SHAKITA CRICHLOW |
| Credential | M.D. |
| Practice Address |
2450 N Orange Blossom Trl Kissimmee FL 34744-2316 |
| Mailing Address |
Hsc Level 4 Rm 080 Stony Brook Medicine Department of Emergency Medicine Stony Brook NY 11794-8350 |
| Practice Telephone | 4078464343 |
| Mailing Telephone | 6314443880 |
| Mailing Fax Number | 6314443919 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2019-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME139641 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Hsc Level 4 Rm 080, Hsc Level 4 Room 080, Stony Brook, NY 117948350 | 6314443880 | 6314443919 |
| Street Address |
2450 N ORANGE BLOSSOM TRL |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811076631 | Florida Radiology Associates Pa | Radiology | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2006-11-03 |
| 1942811328 | Calvin Ngoc Tran | Pharmacist | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2020-08-11 |
| 1972142859 | David John Viola | Registered Nurse | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2019-12-25 |
| 1184289506 | Nancy Dorcelus | Nurse Practitioner | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2019-05-01 |
| 1255995858 | Laura Cordoba | Emergency Medicine | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2019-04-29 |
| 1518424514 | Maria Isabel Ortiz | Nurse Practitioner | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2019-02-26 |
| 1417444019 | Nasser Nasralla | Registered Nurse | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2018-04-18 |
| 1922511534 | Rosana Econg | Registered Nurse | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2017-11-06 |
| 1699200238 | Kaley Ann Griswold | Registered Nurse | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2017-04-20 |
| 1922458835 | Shannon Nicole Stanley | Nurse Practitioner | 2450 N Orange Blossom Trl, Kissimmee, FL 34744-2316 | 2016-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003416843 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 2465 N Orange Blossom Trail, Kissimmee, FL 34744 | 2020-10-30 |
| 1871126722 | Orlando Therapy Services LLC | Speech-Language Pathologist | 2815 Flamvoyan Street, Kissimmee, FL 34744 | 2020-02-19 |
| 1083197941 | Marilyn Mendez | Behavior Technician | 678 Cornestone Dr, Kissimmee, FL 34744 | 2018-09-07 |
| 1255827309 | St.cloud Pharmacy&wellness Center | Pharmacy | St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 | 2018-07-02 |
| 1518454966 | Nationwide Vision Center, LLC | Technician/Technologist | 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 | 2018-04-20 |
| 1831698661 | Ramirez and Poulos M.d. P.a. | Ophthalmology | 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 | 2018-02-07 |
| 1548702517 | Laura L Wheeler | Counselor | 600 N Thacker, D63, Kissimmee, FL 34744 | 2016-11-08 |
| 1275992950 | Judith Ambrose | Case Management | 1320 N Main Street, Suite B, Saint Cloud, FL 34744 | 2016-02-23 |
| 1043685258 | Oreida Hernandez De Morissette | Case Management | 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 | 2015-12-14 |
| 1780062232 | Martin Alfredo Rosell | Hearing Instrument Specialist | 806 N Main Street, Kissimmee, FL 34744 | 2015-05-15 |
| Find all providers in zip 34744 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093079865 | Ayanna D. Walker | Emergency Medicine | 700 W. Oak St, Kissimmee, FL 34741 | 2012-06-27 |
| 1164453767 | Miguel Osvaldo Fernandez Barreras | Emergency Medicine | 100 Park Place Blvd Ste 201, Kissimmee, FL 34741-2326 | 2006-07-05 |
| 1942253497 | Karen R. Greco | Emergency Medicine | 3759 Pleasant Hill Rd, Kissimmee, FL 34746-2937 | 2006-05-18 |
| 1053852483 | Nicholas Fusco | Emergency Medicine | 700 W Oak St, Kissimmee, FL 34741-4924 | 2017-03-18 |
| 1548619588 | Fl-i Medical Services LLC | Emergency Medicine | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 | 2016-06-09 |
| 1679921951 | Leoh Nelson Leon II | Emergency Medicine | 720 W Oak St Ste 201, Kissimmee, FL 34741-4998 | 2016-05-27 |
| 1497151997 | Roberto C Marrero Zeda | Emergency Medicine | 700 W Oak St, Kissimmee, FL 34741-4924 | 2014-11-10 |
| 1295144285 | Eagle Peak Emergency Physicians LLC | Emergency Medicine | 325 Cypress Pkwy, Kissimmee, FL 34759-3326 | 2014-08-05 |
| 1881003721 | Diamond Peak Emergency Physicians LLC | Emergency Medicine | 700 W Oak St, Kissimmee, FL 34741-4924 | 2014-08-05 |
| 1871905299 | Vishal Kumar Gulati | Emergency Medicine | 325 Cypress Pkwy, Kissimmee, FL 34759 | 2014-05-21 |
| Find all providers in KISSIMMEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.